Basic Information
Provider Information
NPI: 1245270081
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KATAI
FirstName: KATHLEEN
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: O.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 720 OLIVE WAY
Address2: SUITE 1505
City: SEATTLE
State: WA
PostalCode: 981011878
CountryCode: US
TelephoneNumber: 2068382590
FaxNumber: 2062648689
Practice Location
Address1: 8009 S 180TH ST
Address2: SUITE 112
City: KENT
State: WA
PostalCode: 980321042
CountryCode: US
TelephoneNumber: 4252267827
FaxNumber: 4252515757
Other Information
ProviderEnumerationDate: 06/08/2006
LastUpdateDate: 10/21/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200XOT00001290WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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